Probing Folate-Responsive and Stage-Sensitive Metabolomics and Transcriptional Co-Expression Network Markers to Predict Prognosis of Non-Small Cell Lung Cancer Patients

Yu Shun Lin, Yen Chu Chen, Tzu En Chen, Mei Ling Cheng, Ke Shiuan Lynn, Pramod Shah, Jin Shing Chen*, Rwei Fen S. Huang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

6 Scopus citations

Abstract

Tumour metabolomics and transcriptomics co-expression network as related to biological folate alteration and cancer malignancy remains unexplored in human non-small cell lung cancers (NSCLC). To probe the diagnostic biomarkers, tumour and pair lung tissue samples (n = 56) from 97 NSCLC patients were profiled for ultra-performance liquid chromatography tandem mass spectrometry (UPLC/MS/MS)-analysed metabolomics, targeted transcriptionomics, and clinical folate traits. Weighted Gene Co-expression Network Analysis (WGCNA) was performed. Tumour lactate was identified as the top VIP marker to predict advance NSCLC (AUC = 0.765, Sig = 0.017, CI 0.58–0.95). Low folate (LF)-tumours vs. adjacent lungs displayed higher glycolytic index of lactate and glutamine-associated amino acids in enriched biological pathways of amino sugar and glutathione metabolism specific to advance NSCLCs. WGCNA classified the green module for hub serine-navigated glutamine metabolites inversely associated with tumour and RBC folate, which module metabolites co-expressed with a predominant up-regulation of LF-responsive metabolic genes in glucose transport (GLUT1), de no serine synthesis (PHGDH, PSPH, and PSAT1), folate cycle (SHMT1/2 and PCFR), and down-regulation in glutaminolysis (SLC1A5, SLC7A5, GLS, and GLUD1). The LF-responsive WGCNA markers predicted poor survival rates in lung cancer patients, which could aid in optimizing folate intervention for better prognosis of NSCLCs susceptible to folate malnutrition.

Original languageEnglish
Article number3
JournalNutrients
Volume15
Issue number1
DOIs
StatePublished - 20 12 2022

Bibliographical note

Publisher Copyright:
© 2022 by the authors.

Keywords

  • WGCNA
  • non–small-cell lung cancers
  • target metabolomics
  • transcriptional profile
  • tumour folate
  • Folic Acid
  • Prognosis
  • Minor Histocompatibility Antigens
  • Humans
  • Amino Acid Transport System ASC
  • Carcinoma, Non-Small-Cell Lung/metabolism
  • Glutamine/metabolism
  • Tandem Mass Spectrometry
  • Lung Neoplasms/metabolism
  • Metabolomics/methods

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